Electrocardiogram (EKG, tracing only)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $37
- Cash Discount Price: $87
- vs. Medicare Baseline: 0.61x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $60.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $21 | 35% |
| Tricare | $36 | 60% |
| Medicare (plans) | $37 | 61% |
| Humana | $37 | 61% |
| Va_Ccn | $37 | 61% |
| Aetna | $37 | 61% |
| Medadv_Uhc | $37 | 61% |
| Medadv_Allwell | $37 | 61% |
| Blue Cross Blue Shield | $37 - $116 | 61% |
| Ambetter / Centene | $58 | 96% |
| Wppa_Providrscare | $96 | 159% |
| United | $96 | 159% |
| Hpk | $110 | 183% |
| Coventry | $110 | 183% |
| Cigna | $110 | 183% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash price of $87.00 is notably lower than the state average, which typically ranges between $110 and $116 for this procedure. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and United range from $58 to $116, these amounts often exceed the cash price, meaning self-pay patients may save money by paying directly. It is important to note that commercial insurance rates frequently include administrative overhead and do not reflect the true cost of care, which is best approximated by the Medicare benchmark of $60.27. Patients with high-deductible plans should consider paying the cash price upfront, as this avoids the higher negotiated rates their insurance would otherwise apply, provided they have not yet met their deductible.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices can hide unbundled charges or services not rendered. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act protects you from paying the difference between the provider's full charge and your insurance allowed amount for emergency care and non-emergency services at in-network facilities. Additionally, ask the billing department about prompt-pay discounts, which can reduce your total bill by 20% to 50% if you pay in full within 30 days, effectively bypassing the costly insurance claims process. Finally, verify that your facility is classified as self-pay or cash-pay at registration to prevent automatic claim submission, which could void any potential cash discounts you are entitled to.